Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08243 | Date 21/11/2024 |
| Token No | SM/24-25/33943 09/01/2025 | Serial | 034 |
| Patient Name | Mrs. POOJA SHAW | Contact No | 8910693153 |
| Address | 66/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||